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The Canadian Nosocomial Infection Surveillance Program

Clostridium difficile Associated Disease (CDAD) Surveillance

Healthcare-Associated-Clostridium difficile Infection (HA-CDI) 2007 - 2011

**Number of Healthcare-Associated-*Clostridium difficile* infection cases and incidence rates per 1,000 patient admissions by region**
	Region
	Rate per 1,000 patient admissions
	Western		Central		Eastern		Overall
	No.cases	Rate	No.cases	Rate	No.cases	Rate	No.cases	Rate
2007	1,180	4.08	1,831	5.07	260	3.44	3,271	4.51
2008	1,060	6.35	1,597	5.48	256	3.56	2,913	5.49
2009	683	5.13	1,401	4.98	161	2.74	2,245	4.75
2010	1,251	4.68	1,266	5.13	155	2.04	2,672	4.53
2011	1,170	4.85	1,910	6.21	101	2.20	3,181	5.35

**Number of Healthcare-Associated-*Clostridium difficile* infection cases and incidence rate per 10,000 patient days by region**
	Region
	Rate per 10,000 patient days
	Western		Central		Eastern		Overall
	No.cases	Rate	No.cases	Rate	No.cases	Rate	No.cases	Rate
2007	1,180	6.06	1,831	8.22	260	3.95	3,271	6.77
2008	1,060	8.06	1,597	7.36	256	3.86	2,913	7.02
2009	683	6.87	1,401	5.91	161	3.19	2,245	5.80
2010	1,251	6.84	1,266	6.76	155	2.27	2,672	6.09
2011	1,170	6.10	1,910	8.37	101	2.88	3,181	6.99

Number of Healthcare-Associated-*Clostridium difficile* infection cases and incidence rates per 1,000 patient admissions by type of facility
	Type of Facility
	Rate per 1,000 patient admissions
	Adult and mixed sites		Pediatric stand-alone sites		Overall
	No.cases	Rate	No.cases	Rate	No.cases	Rate
2007	3,207	4.61	64	2.10	3,271	4.51
2008	2,816	5.66	97	2.96	2,913	5.49
2009	2,164	4.95	81	2.24	2,245	4.75
2010	2,570	4.69	102	2.47	2,672	4.53
2011	3,053	5.65	128	2.36	3,181	5.35
Adult and mixed sites are comprised of hospitals that provide services to both adult and pediatric patients. Typically, the pediatric patients represent less than 10% of the hospital population.

Number of Healthcare-Associated-*Clostridium difficile* infection cases and incidence rate per 10,000 patient days by type of facility
	Type of Facility
	Rate per 10,000 patient days
	Adult and mixed sites		Pediatric stand-alone sites		Overall
	No.cases	Rate	No.cases	Rate	No.cases	Rate
2007	3,207	6.93	64	3.15	3,271	6.77
2008	2,816	7.15	97	4.60	2,913	7.02
2009	2,164	5.92	81	3.74	2,245	5.80
2010	2,570	6.19	102	4.35	2,672	6.09
2011	3,053	7.09	128	5.22	3,181	6.99
Adult and mixed sites are comprised of hospitals that provide services to both adult and pediatric patients. Typically, the pediatric patients represent less than 10% of the hospital population.

Attributable mortality rate 30 days after date of positive culture per 100 HA-CDI cases
	Number of death^{Table 5 - Footnote *}	Mortality rate per 100 HA-CDI cases
2007	33	4.9
2008	25	5.0
2009	33	3.1
2010	88	6.1
2011	88	5.3
Footnote * *Deaths directly and indirectly related to HA-CDI 30 days after onset of HA-CDI

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2021-04-29

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